Yebo, ungathatha ama-beta blockers uma une-asthma enikeze ukuthi:
- Uthatha ibhiya elilungile le- beta
- Uqala ngesikhathi esifushane sokusetshenziswa njengesivivinyo (amasonto amane kuya kwangu-6)
Ingabe Kuphephile Ukuthatha I-Beta-Blockers Uma Unesifo Se-Asthma?
Lo mbuzo uvamile, futhi uvela ngenxa yokuthi ukuhlakanipha kwendabuko - kokubili phakathi kweziguli kanye nabachwepheshe bezokwelapha - ukuthi amabhlokhi ajwayelekile akufanele asetshenziswe kubantu abane-asthma noma i-COPD (izinhlobo ezimbili zohlelo olujwayelekile lwesifo olubizwa ngokuthi isifo sezindiza esiphendukayo ).
Isizathu salokhu senza umqondo omkhulu ebusweni. Abavimbela i-Beta bahlose ukuthola i-beta receptors futhi bayeke ukuthumela imilayezo ezindaweni ezihlukahlukene zomzimba. Esikhathini senhliziyo, lokhu kunenzuzo kubantu abane-high pressure yegazi kanye nezinkinga zenhliziyo ngoba eziningi ze-beta receptors zombili izitsha zegazi kanye nenhliziyo ngokwayo. Ukuvimbela lezi "receptor" ze-cardiovascular receptors "kukhulula imithwalo yegazi, kunciphise inhliziyo, futhi kuholele ekunciphiseni ngokugcwele kwegazi kanye nomsebenzi wenhliziyo okufanele uyenze.
Kodwa-ke, eziningi ze-beta receptors zisemaphashini futhi "izakhiwo zomoya" (i-bronchi, i-bronchioles - zombili yizingxenye ezincane ezihamba emoyeni emaphashini). Kulezi zindawo, ama-receptors asebenzayo asebenzayo asiza ukugcina izingxenye zomoya zikhululekile futhi zikhululekile, okuthuthukisa ukuphefumula. Ukuvimbela ama-beta receptors lapha kubangelwa ukuthi lezi zakhiwo zomoya zenzeke kakhulu futhi zivinjelwe, okuyingozi kubantu abane-asthma, i- COPD , noma ezinye izinhlobo zesifo se-airway esiphendukayo.
Kodwa iphuzu elibalulekile, ukuthi imitholampilo ye-cardiovascular and airway beta empeleni ihlukile kancane. Abavimbeli be-Beta abahle kakhulu ekutsheleni lezi zinhlobo ezimbili futhi ngokujwayelekile bavimbela zombili izinhlobo ngokufanayo, okubi.
Kodwa-ke, ezinye izivimbela ze-beta zenzelwe ngokuqondile ukubhekisisa imitholampilo ye-beta ye-cardiovascular ngenkathi ishiya izindiza ze-beta receptors zodwa.
Yize bengenayo i-100% yokukhetha, ngokuvamile benza umsebenzi omuhle wokubandlulula phakathi kwalaba ababili. Lezi zidakamizwa ezithize ezintsha ze-beta ze-cardiovascular beta zibizwa ngokuthi i-cardioselective beta blockers.
Ucwaningo lubonisa ukuthi akuyona kuphela i-cardioselective ephephile yokusetshenziswa kubantu abane-asthma ne-COPD, banganikeza inzuzo eningi kulabo bantu (abavame ukuba nezinkinga eziphakeme ze-cardiovascular).
Uma udokotela wakho efuna ukuzama ukuvimbela i-beta blocker, kufanele enze isilingo sokuqala ukuqinisekisa ukuthi konke kuyoba ok. Leli cala kufanele lihlale phakathi kwamasonto amane kuya kwangu-6. Ngalesi sikhathi, kufanele ulandele ukuhlaselwa kwe-asthma, noma yikuphi ukuphefumula okungavamile kokuphefumula, noma yimuphi omunye ushintsho emaphethini / umzamo wakho wokuphefumula (umfutho wokuphefumula) nokubika udokotela wakho.
Uma ubhekene nezinkinga ezinkulu (inombolo ekhuphuke kakhulu yokuhlaselwa, ukuphefumula okunzima njalo), i-beta-blocker kufanele imiswe. Ngisho noma ngabe uvivinyo luhamba kahle, qiniseka ukuthi ugcina ama-inhalers akho okusheshayo agcwaliswe futhi afinyeleleka, nokuthi uthatha noma imiphi imithi noma imithi njengoba nje enqunyiwe. Ngesikhathi ukwelashwa, i-asthma yakho (noma esinye isifo sezindiza) sidinga ukuqapha, futhi kufanele ufune usizo lwezokwelapha ngokushesha nganoma yiziphi izinkinga eziphefumulayo.
Umthombo
- I-Salpeter S, i-Ormiston T, i-Salpeter E, i-Wood-Baker R. I-cardioselective beta-blockers ye-reversible diseaseway. Database Cochrane Yokuhlolwa Okuhlelekile 2001, Issue 2. Art. Cha: CD002992. I-DOI: 10.1002 / 14651858.CD002992.